Recovery Flashcards
Recovery
Getting back the skills you had before
Compensation
Finding alternative ways to do a task which is now too difficult
Acute phase
Occurs 1-2 weeks post stroke
Most change is measured here as usually still in hospital
Many clinical changes take place
Ipsilateral (acute phase)
This is when areas surrounding the damaged site begin to take over some of the functions of the damaged area
Contra lateral
This is when areas on the opposite side of the brain to the damage begin to take over functions of the damaged area.
Saur et al 2006
Evidence that neuroplasticity occurs. Studies 14 stroke patients from the acute to chronic phases of recovery. Found that all improved on language scores from acute to chronic when retested despite great individual variation
Prognosis factors of recovery
Age Handedness Etiology Site of injury Gender Education
Etiology ischemic
Ischemic
Get a clot which starts the stroke process as cuts off blood and oxygen to the brain. If caught early enough can have an injection to dissolve the clot. If not this type of stroke is worse to have 😔
Hemorrhage
Bleeding on the brain
Better than ischemic because doesn’t kill brain tissue or neurofibres
Neuroplasticity
The ability of the brain to change and be adaptive. In terms of aphasia this means it gives the brain an opportunity to compensate and recover
Forkel et al 2014
Looked at the anatomical predictors of aphasia recovery and found that the volume of the long segment of the articuate fasiculus was a predictor of recovery.
Klein and Jones 2008
Use it or lose it Use it and improve it Salience Repetition Interference Time matters Specificity Age matters Transference Intensity matters
Raymer et al 2008
Translated Klein and Jones principles into aphasia rehabilitation which can be relevant for aphasia treatment:
Timing of treatment delivery
Use it or lose it
Generalisation and transfer of treatment effects
Influence of repetition and intensity of treatments
